Johnson, Matthew David
Johnson, Matthew David is an sole proprietor health care provider with primary practice located at 4400 Vestal Parkway East , Binghamton NY 13902-6000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Matthew David can be contacted via phone (607) 777-2103.Contact Information
Primary practice address
4400 Vestal Parkway East
Binghamton NY 13902-6000
Phone: (607) 777-2103
Fax: (607) 777-4733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 014850 | New York |
Profile Details
NPI number | 1649345208 |
---|---|
LBN Legal business name | Johnson, Matthew David |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 21st, 2006 |
Last updated | Feb 12th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649345208 | NPPES |
New York | Other | 000135453 | BLUE CROSS BLUE SHIELD OF |
New York | Other | 418400 | BLUE CROSS BLUE SHIELD OF |
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